NPI | 1275934952 |
---|---|
Former Name | TYESHIA BOWEN STREUFERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11031380) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1129497) |
363L00000X Nurse Practitioner (Licence: AL 1-132967) | |
Enumeration Date | 2014-09-12 |
Last Update Date | 2025-04-23 |